Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HIDALGO MEDICAL SERVICES

NPI: 1306843180 · LORDSBURG, NM 88045 · Federally Qualified Health Center (FQHC) · NPI assigned 07/07/2005

$40.21M
Total Medicaid Paid
298,004
Total Claims
254,257
Beneficiaries
140
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialOTERO, DANIEL (CEO)
NPI Enumeration Date07/07/2005

Related Entities

Other providers sharing the same authorized official: OTERO, DANIEL

ProviderCityStateTotal Paid
HIDALGO MEDICAL SERVICES SILVER CITY NM $863K
HIDALGO MEDICAL SERVICES SILVER CITY NM $303K
HIDALGO MEDICAL SERVICES SILVER CITY NM $247K
HIDALGO MEDICAL SERVICES BAYARD NM $6K
HIDALGO MEDICAL SERVICES GILA NM $361.80
HIDALGO MEDICAL SERVICES LORDSBURG NM $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 43,552 $6.12M
2019 40,867 $5.69M
2020 40,274 $5.72M
2021 46,242 $6.36M
2022 43,354 $6.27M
2023 49,050 $5.76M
2024 34,665 $4.28M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 49,593 43,119 $10.67M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 36,408 32,729 $7.74M
Q3014 Telehealth originating site facility fee 27,822 17,463 $5.51M
D0999 Unspecified diagnostic procedure, by report 14,793 13,227 $3.42M
90834 Psychotherapy, 45 minutes with patient 11,437 8,181 $2.50M
90837 Psychotherapy, 53 minutes with patient 8,539 5,757 $1.94M
H2015 Comprehensive community support services, per 15 minutes 8,186 4,344 $1.40M
90853 Group psychotherapy (other than of a multiple-family group) 4,090 1,117 $925K
90832 Psychotherapy, 30 minutes with patient 3,608 2,959 $794K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,742 2,734 $607K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,507 2,499 $553K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,327 2,317 $507K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,065 1,973 $454K
90791 Psychiatric diagnostic evaluation 1,746 1,725 $384K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,666 1,579 $358K
H0038 Self-help/peer services, per 15 minutes 1,402 609 $332K
99215 Prolong outpt/office vis 1,345 1,294 $288K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,090 1,086 $251K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 909 905 $211K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 6,578 5,846 $142K
97803 580 438 $131K
0002A 532 531 $121K
0003A 558 558 $120K
0001A 471 470 $107K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 507 505 $107K
90847 Family psychotherapy with the patient present, 50 minutes 400 319 $87K
0012A 259 257 $59K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 2,074 1,735 $56K
0011A 230 230 $53K
97802 218 201 $45K
0124A 316 316 $38K
0072A 157 157 $36K
0071A 152 152 $35K
90792 Psychiatric diagnostic evaluation with medical services 120 120 $29K
D0140 Limited oral evaluation - problem focused 919 902 $19K
0031A 79 79 $18K
D1110 Prophylaxis - adult 882 881 $18K
91301 634 622 $13K
0134A 88 88 $12K
H2017 Psychosocial rehabilitation services, per 15 minutes 51 12 $12K
0013A 44 44 $10K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 46 46 $9K
99381 41 40 $9K
D0210 Intraoral - complete series of radiographic images 198 196 $8K
H0031 Mental health assessment, by non-physician 33 33 $7K
91300 1,734 1,613 $7K
0073A 19 19 $4K
D0150 Comprehensive oral evaluation - new or established patient 628 627 $4K
99442 17 17 $4K
99441 18 18 $4K
80306 2,703 2,366 $3K
D0274 Bitewings - four radiographic images 515 515 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,004 1,975 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,162 2,147 $3K
D7140 Extraction, erupted tooth or exposed root 98 68 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 12 $3K
0094A 13 13 $2K
83036 Hemoglobin; glycosylated (A1C) 3,584 3,565 $1K
0173A 41 41 $1K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 46 39 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,279 3,196 $1K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 13 12 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,075 2,044 $1K
D0330 Panoramic radiographic image 41 41 $1K
81003 3,914 3,677 $740.40
36415 Collection of venous blood by venipuncture 3,642 3,523 $721.83
83655 914 913 $686.16
85018 1,336 1,326 $648.51
D0220 Intraoral - periapical first radiographic image 958 933 $611.37
J1050 Injection, medroxyprogesterone acetate, 1 mg 534 532 $324.14
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,486 1,476 $320.05
90461 3,875 3,846 $272.70
D2391 Resin-based composite - one surface, posterior, primary or permanent 88 56 $251.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 575 570 $233.76
99177 1,304 1,303 $233.17
91307 342 322 $231.92
90647 157 155 $224.46
D1208 Topical application of fluoride, excluding varnish 69 69 $224.46
94010 60 59 $216.17
81025 2,048 1,986 $216.01
99173 3,068 3,062 $182.06
92587 976 975 $171.94
36416 4,811 4,684 $136.30
90734 701 701 $131.39
90756 924 916 $96.71
80348 254 202 $89.20
90460 Immunization administration through 18 years of age via any route, first or only component 6,514 6,466 $67.53
3078F 8,375 7,059 $67.02
90715 981 980 $53.61
J1885 Injection, ketorolac tromethamine, per 15 mg 120 117 $32.59
80305 545 491 $29.42
90648 329 328 $23.34
G0008 Administration of influenza virus vaccine 25 24 $10.55
3074F 9,627 7,919 $0.04
3079F 4,348 3,840 $0.02
3077F 1,648 1,441 $0.02
90686 1,359 1,355 $0.01
D0120 Periodic oral evaluation - established patient 215 215 $0.00
3075F 2,682 2,449 $0.00
82044 24 24 $0.00
90698 743 743 $0.00
93000 499 498 $0.00
90680 978 977 $0.00
3080F 1,124 1,001 $0.00
90696 147 147 $0.00
92558 486 482 $0.00
90723 537 536 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 30 30 $0.00
D0230 Intraoral - periapical each additional radiographic image 65 34 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 13 13 $0.00
3044F 60 60 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 39 39 $0.00
1111F 34 34 $0.00
86580 67 65 $0.00
D1206 Topical application of fluoride varnish 48 48 $0.00
91306 26 26 $0.00
90688 85 85 $0.00
91303 79 79 $0.00
90744 12 12 $0.00
91317 27 27 $0.00
82962 12 12 $0.00
90716 20 20 $0.00
3351F 42 42 $0.00
92551 15 15 $0.00
90670 1,632 1,628 $0.00
92588 1,111 1,109 $0.00
90633 1,012 1,008 $0.00
90649 1,198 1,196 $0.00
90710 634 634 $0.00
91312 316 315 $0.00
D1120 Prophylaxis - child 173 173 $0.00
S4993 Contraceptive pills for birth control 50 41 $0.00
3725F 143 138 $0.00
D0270 24 24 $0.00
71046 Radiologic examination, chest; 2 views 15 14 $0.00
90707 31 31 $0.00
91313 68 68 $0.00
90473 27 27 $0.00
90658 54 54 $0.00
90655 55 55 $0.00